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Organization

DANIEL BRANNON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL TODD BRANNON D.O. (PHYSICIAN)
(314) 966-9100
Entity
Organization

Contact information

Practice address
2345 DOUGHERTY FERRY RD, SAINT LOUIS, MO 63122-3313
(314) 966-9100
Mailing address
2345 DOUGHERTY FERRY RD, SAINT LOUIS, MO 63122-3313
(314) 966-9100

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2009018186
MO

Other

Enumeration date
12/17/2010
Last updated
12/17/2010
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